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Provider 1558798603

NPI: 1558798603Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,821,858

Total Claims

615K

Beneficiaries

464K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+3%
2019
$2.7M
-21%
2020
$2.1M
+10%
2021
$2.4M
+10%
2022
$2.6M
+13%
2023
$2.9M
-18%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 13% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

20K claims · 13.0%

Your Cost: $118.64/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.3M

14K claims · 12.7%

Your Cost: $162.74/claim|Median: $69.51
2.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.1M

6,124 claims · 6.4%

Your Cost: $185.36/claim|Median: $85.65
2.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$815K

8,835 claims · 4.6%

Your Cost: $92.28/claim|Median: $21.76
4.2× median
G0378Normal range

Hospital observation service, per hour

$692K

3,029 claims · 3.9%

Your Cost: $228.56/claim|Median: $99.39
2.3× median
99282Normal range

Emergency dept visit, low complexity

$474K

5,774 claims · 2.7%

Your Cost: $82.11/claim|Median: $37.72
2.2× median
99281Normal range

Emergency dept visit, minimal complexity

$453K

11K claims · 2.5%

Your Cost: $41.64/claim|Median: $52.03
0.8× median
86885Top 5%

$368K

5,121 claims · 2.1%

Your Cost: $71.78/claim|Median: $5.28
13.6× median
71045Top 10%

Chest X-ray, single view

$362K

11K claims · 2.0%

Your Cost: $33.45/claim|Median: $4.93
6.8× median
74177Normal range

CT abdomen and pelvis with contrast

$338K

2,526 claims · 1.9%

Your Cost: $133.96/claim|Median: $65.76
2.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$338K

8,808 claims · 1.9%

Your Cost: $38.40/claim|Median: $9.56
4.0× median
97110Normal range

Therapeutic exercises, each 15 min

$336K

13K claims · 1.9%

Your Cost: $24.90/claim|Median: $24.49
1.0× median
86900Top 5%

$295K

5,575 claims · 1.7%

Your Cost: $52.96/claim|Median: $2.55
20.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$278K

11K claims · 1.6%

Your Cost: $24.73/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$272K

11K claims · 1.5%

Your Cost: $24.25/claim|Median: $23.39
1.0× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$263K

2,626 claims · 1.5%

Your Cost: $100.03/claim|Median: $61.57
1.6× median
71046Top 10%

Chest X-ray, 2 views

$257K

6,860 claims · 1.4%

Your Cost: $37.43/claim|Median: $8.92
4.2× median
81513Normal range

$227K

2,773 claims · 1.3%

Your Cost: $82.01/claim|Median: $71.32
1.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$222K

2,500 claims · 1.2%

Your Cost: $88.84/claim|Median: $54.77
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$206K

42K claims · 1.2%

Your Cost: $4.86/claim|Median: $4.71
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$189K

3,198 claims · 1.1%

Your Cost: $59.19/claim|Median: $63.08
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$180K

2,624 claims · 1.0%

Your Cost: $68.45/claim|Median: $74.78
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$177K

9,233 claims · 1.0%

Your Cost: $19.22/claim|Median: $7.50
2.6× median
70450Normal range

CT head/brain without contrast

$173K

4,114 claims · 1.0%

Your Cost: $42.16/claim|Median: $45.53
0.9× median
80053Normal range

Comprehensive metabolic panel

$159K

24K claims · 0.9%

Your Cost: $6.52/claim|Median: $7.24
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$154K

1,677 claims · 0.9%

Your Cost: $92.08/claim|Median: $36.13
2.5× median
87804Normal range

Influenza virus detection, rapid test

$148K

12K claims · 0.8%

Your Cost: $12.76/claim|Median: $12.59
1.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$142K

6,992 claims · 0.8%

Your Cost: $20.28/claim|Median: $21.08
1.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$139K

2,665 claims · 0.8%

Your Cost: $52.33/claim|Median: $39.63
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$139K

4,663 claims · 0.8%

Your Cost: $29.75/claim|Median: $38.92
0.8× median
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